CAJ | 학술논문

背景上呼吸道感染(upper respiratory tract infections,URIs)常见于小儿,大多由病毒感染所引起.URIs小儿手术进行麻醉时,呼吸不良事件发生率增加,麻醉风险增高,择期手术是否应该取消或应该推迟多久,一直是麻醉医师比较难以抉择的问题. 目的综述近几年URIs小儿麻醉的研究文献,为麻醉医师的临床工作提供理论参考. 内容阐述了小儿URIs的病理生理学机制、围术期呼吸不良事件的危险因素、术前评估、麻醉管理以及常见不良事件的预防和处理. 趋向随着小儿手术日益增多,URI小儿的择期手术时机,需要根据具体情况做出抉择.
배경 상호흡도감염(upper respiratory tract infections,URIs)상견우소인,대다유병독감염소인기.URIs소인수술진행마취시,호흡불량사건발생솔증가,마취풍험증고,택기수술시부응해취소혹응해추지다구,일직시마취의사비교난이결택적문제. 목적 종술근궤년URIs소인마취적연구문헌,위마취의사적림상공작제공이론삼고. 내용 천술료소인URIs적병리생이학궤제、위술기호흡불량사건적위험인소、술전평고、마취관리이급상견불량사건적예방화처리. 추향 수착소인수술일익증다,URI소인적택기수술시궤,수요근거구체정황주출결택.
Background Upper respiratory tract infections (URIs) frequently occur in childhood,and most infections are viral origin.For those children with URIs,the anesthetic risk is increased because of the increasing perioperative respiratory adverse events.The choice of cancel surgery for children with URIs or not and how long to postpone the procedure are still a dilemma for anesthesiologists.Objective This article summarized recent studies about the anesthesia in children with URIs in order to provide theoretical basis of clinical practice for anesthesiologists.Content This review involved the pathophysiological mechanisms of URIs,risk factors for perioperative respiratory adverse events in children with URIs,preoperative assessment,management of anesthesia,as well as prevention and treatment of frequently observed adverse events.Trend With the increase of pediatric operations,we should decide the right moment of elective surgery for children with URIs.